Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.83 / $4,032.00 / $8,920.00	Facility		$315.83	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.81 / $315.83 / $315.83	Professional		$192.81	$315.83	$315.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $123.10 / $171.58	Professional		$97.83	$123.10	$171.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $7,889.00 / $9,638.00	Professional		$2,600.00	$7,889.00	$9,638.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.09 / $284.50 / $344.75	Professional		$237.09	$284.50	$344.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.34 / $315.83 / $481.02	Facility		$210.34	$315.83	$481.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $352.00 / $477.77	Professional		$280.00	$352.00	$477.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.91 / $265.48 / $6,585.00	Facility		$204.91	$265.48	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $265.48 / $6,585.00	Professional		$204.91	$265.48	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $296.64 / $445.34	Professional		$177.67	$296.64	$445.34